How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $338.84 | Professional | None | $165.96 | $338.84 | $338.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $630.96 | Facility | None | $173.78 | $295.12 | $630.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $177.83 | Professional | None | $147.91 | $173.78 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $363.08 Typical High $676.08 | Facility | None | $134.90 | $363.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $288.40 | Professional | None | $131.83 | $131.83 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $338.84 | Facility | None | $173.78 | $173.78 | $338.84 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $338.84 | Professional | None | $173.78 | $199.53 | $338.84 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | None | $128.82 | $128.82 | $151.36 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $331.13 | Facility | None | $173.78 | $263.03 | $331.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $331.13 | Professional | None | $173.78 | $263.03 | $331.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $630.96 | Facility | None | $263.03 | $389.05 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | None | $147.91 | $147.91 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $229.09 | Facility | None | $173.78 | $173.78 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $245.47 | Professional | None | $173.78 | $173.78 | $245.47 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $281.84 | Professional | None | $74.13 | $74.13 | $281.84 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $123.03 | $125.89 | $125.89 |
Where Idaho sits
The same service costs 3.4 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 13th of 51
$200
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.